title: A new method for protection from shower embolism during TEVAR on a shaggy aorta.
abstract: The case of a patient with a thoracoabdominal aortic aneurysm accompanied by a shaggy aorta, in whom embolism was prevented by a graft used in debranching and placement of an extracorporeal shunt during thoracic endovascular aortic repair, called the "block and trap method", is presented. Two-staged operations were performed using Y graft replacement, debranching bypass, and thoracic endovascular aortic repair during which a temporary shunt line with a blood filter was made involving the femoral artery and vein. The method of trapping emboli in a filter in an external shunt appears effective.
authors.affiliation: Department of Cardiovascular Surgery, Oita University Hospital, 1-1-1 Idai-ga-oka, Hazama, Yufu City, Oita, 879-5593, Japan, wada@oita-u.ac.jp.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Wada
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Anai
authors.forename: Takashi
authors.initials: T
authors.lastname: Shuto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Sakaguchi
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Hongo
authors.forename: Rieko
authors.initials: R
authors.lastname: Shuto
authors.forename: Shinji
authors.initials: S
authors.lastname: Miyamoto
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000473:pathology / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D013923:Thromboembolism / Q000517:prevention & control*; D016896:Treatment Outcome; D014781:Viscera / Q000098:blood supply